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Universal Protocol
Treating all fluids as contaminated
Code Blue (SHARC)
Minor injuries (scrapes, band-aids, etc.)
Code Yellow (SHARC)
Sudden illness, sprains/breaks, not life threatening, may need to call 911
Code Red (SHARC)
Call 911, life-threatening emergency (cardiac/respiratory distress, spinal injuries, fire, assult)
Primary Assessment
Scene safety
Consciousness (tap + shout)
Check for breathing/pulse
Signal for help
Secondary Assessment
Identifying what is wrong
Use SAMPLE
SAMPLE (S)
Signs and Symptoms
Something you can see or something that they can feel
SAMPLE (A)
Allergies (insect, food, medications)
SAMPLE (M)
Medication
Have they taken or not taken anything?
SAMPLE (P)
Past Relevant History (diabetes, seizures, cardiac arrest)
SAMPLE (L)
Last Oral Intake (Food/water)
SAMPLE (E)
Event Leading Up to Injury/Illness
Exposure Incident
Wash area (cut, needle stick, etc) with soap and water
Flush splashes on nose/mouth/skin with water
Irrigate eyes with clean water/saline/eye solution
Report incident to supervisor
Immediately seek medical treatment
Rescue Breathing (Adult)
Every 6 seconds for 2 minutes (20 breaths)
After 2 mins, reassess pulse/breathing, switch
Rescue Breathing (Infant)
Every 3 seconds for 2 minutes (40 breaths)
After 2 mins, reassess pulse/breathing, switch
Do not over inflate lungs
Infant Pulse
Brachial artery between bicep and tricep
Tap feet + shout
Reasons to Stop CPR
Obvious signs of life
EMS has arrived
Scene has become unsafe
PPE
Personal Protective Equipment - gloves, close-toed shoes, goggles, face masks, face shields, etc.
RWI
Recreational Water Illnesses
RID / RID Factor
Contributions to drowning - Lack of Recognition, Intrusion, Distraction
Risk Factors for Drowning
Wearing a life jacket, limited mobility, “wall crawlers,” unsupervised children, etc.
5-Minute Scan Strategy
Lifting your rescue buoy up above your head to signal alertness
EAP
Emergency Action Plan
BVM
Bag Valve Mask
Reasons to Call 911
Bleeding or spurting blood that you cannot stop
Difficulty breathing or no breathing
Gasping for air or turning blue or purple or very pale
Choking and the inability to clear the obstruction
Altered mental status such as unresponsiveness, fainting, lack of alertness, making unusual noises, or cannot speak a simple sentence
Chest pains, chest pressure or constriction, or crushing discomfort around the chest (even if the pain stops)
Unusual numbness, tightness, pressure, or aching pain in the chest, neck, jaw, arm, or upper back.
A temperature of 105 degrees Fahrenheit (41 degrees Celsius) or higher.
Severe stiff neck, headache, and fever.
A snakebite.
A bee sting that causes a reaction.
A seizure or convulsion followed by altered mental status that lasts more than 5 minutes.
Burns over an area larger than the palm of your hand.
Electrical burn or shock.
Severe injury or trauma
STAAR (S)
Scan - look for people in distress, scan the zone
STAAR (T)
Target - Individuals of concern, abnormal behavior
STAAR (A)
Assess - the situation and decide whether or not you need to take action
STAAR (A2)
Alert - other guards w/ a whistle or other device (walkie, etc)
STAAR (R)
Rescue - determine which type of rescue is appropriate